Individual provider Active NPI

Alicia Andry

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1003168063
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015548 Issued in IL
Practice address
600 S Dearborn St Apt 1811
Chicago, IL 60605-1853
Phone
(708) 421-1329
NPI assigned
Oct 15, 2012
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070015548 IL Primary

Addresses

Primary practice location

600 S Dearborn St Apt 1811
Chicago, IL 60605-1853

Mailing address

600 S Dearborn St Apt 1811
Chicago, IL 60605-1853
Phone (708) 421-1329

Other practice location 1

606 W Roosevelt Rd
Suite 2E
Chicago, IL 60607-4912
Phone (312) 588-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070015548ILMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1003168063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DEARBORN ST APT 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051853",
            "telephone_number": "708-421-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DEARBORN ST APT 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051853",
            "telephone_number": "708-421-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 W Roosevelt Rd",
            "address_2": "Suite 2E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074912",
            "country_code": "US",
            "telephone_number": "312-588-5050",
            "fax_number": "312-588-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRY",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.